The word came last week that a friend and colleague, a clinical psychologist, had committed suicide. She had suffered a hammering of profound losses and fell into a deep hole of depression. She had placed herself in good professional hands, was hospitalized for two weeks, and released with medications and a discharge summary that she, herself, could have written. She, later, took her life by overdose.

And if you are a clinical type, then you might be interested in knowing that she – and we will call her Susan for our descriptive purposes here -- had been hospitalized once before as a young adult due to a breakdown of sorts. That initial breakdown had shaped her career. I would also suggest that it enhanced Susan’s humanity and made her more accepting of the mysteries of life. Susan was a very skilled and gifted therapist. Over the course of her professional life, she had helped so very many find their way to safety and sanity, which, of course, makes it even more incongruent that this healing type woman would take her own life. Then, again, we are all human.

Susan was a huge dreamer – big, significant dreams, healing dreams, dreams that reverberated in her 3D life with books, pictures, and the like tumbling, on occasion, from her walls and book shelves. Susan analyzed dreams with her patients; she explored their multi-nuanced aspects with her colleagues. Susan understood the imaginal world and the power of metaphor to transform a life.

Yet, even with all those gifts and talents, Susan’s well of despair flooded. Taken hostage by her biochemical influences, she crossed the border of her inner terrain and entered into the place without light, with nary a crack in the darkness. All that training and education notwithstanding, suicide seemed the answer to Susan’s very distraught and off-balanced self.

Suicide is not painless; it leaves loved ones – and in this case, patients, too – reeling in disbelief and “what if’s” and “If only, I had …” It’s hard to be left under such messy circumstances. We think, perhaps, we could have done something differently – made a move or said the right words that might have tipped the balance in favor of life.

Death is not easy on a regular basis, but it becomes tainted and shame-faced when described as a suicide. It’s as if we, the survivors, have somehow failed to do our part. We feel responsible. We feel confused and, sometimes, angry, too. “How could they?” we puzzle, as if it had anything really to do with us.

As a psychologist as well as a former suicide hot-line responder, I understand all too well what can lead up to those moments when suicide is considered a possibility that can – with enough pain and tight, airless thinking -- become an option to end the torment.

I get it. I’m not saying I like it, condone it, or anything else, but I understand how someone can get there. I understand the trajectory of suffering. I have witnessed the sheer desperation of unabated pain -- be it physical, psychological, or both -- and the dark places that it can take you. I have seen how a life can crumble in on itself, worn down by the struggle, the relentless struggle.
That much pain changes a person; it leaves an indelible mark. Suicide becomes all about moving out of the desperate pain. It is a very intimate act; it is self on self, in all of its swirling eddies of emotional tumult. There is little room for anyone else.

There are many paths of pain and despair. For some, suicide is an impulsive act of fury and pain; for others, it is a release from the daily torment that makes life unbearable. For some, it is the tight, airless room where they cannot draw a deep breath; much less consider compassion for the self. Suicide is an act of violence against the much-hated, broken, and wounded self.

Suicide leaves a wake of questions. I have opted to forego the questions. It does not change anything. What I know is that my friend was in pain, was biochemically unbalanced, and made a choice. Needless to say, I wish her choice had been different, but who am I to say? Her act teaches me about the fragility and ferocity of the human spirit.

In the aftermath, I have come up with what I think is the perfect antidote. I am sending loads and loads of light to my friend, Susan. It seems like the perfect thing to do after all that darkness. And, who knows, maybe it will help her soul refind its sparkle.


And to put suicide into context, here are some facts from The American Foundation for Suicide Prevention and SAVE (Suicide Awareness Voices of Education). You will note that in places these sources have also referenced the CDC (Center for Disease Control) and AAS (American Association of Suicidology):

Over 34,000 people in the U.S. die by suicide every year.

Every day, approximately 95 Americans take their own life, and 2,370 more attempt to do so.

A suicide attempt is estimated to be made once every 40 seconds.

There are four male suicides for every female suicide, but three female attempts for each male attempt.

Early recognition, treatment of depression and other psychiatric illnesses appear to be the best way to prevent suicide.

Many who attempt suicide never seek professional care.

Between 1952 and 1995, suicide in young adults nearly tripled.

Over half of all suicides occur in adult men, ages 25-65.

Suicide rates in the United States are highest in the spring.

Over half of all suicides are completed with a firearm.

Suicide rates among the elderly are highest for those who are divorced or widowed.

In the month prior to their suicide, 75% of elderly persons had visited a physician

80% of people that seek treatment for depression are treated successfully.

15% of those who are clinically depressed die by suicide.

There are an estimated 8 to 25 attempted suicides to 1 completion.

The highest suicide rate is among men over 85 years old: 65 per 100,000 persons.

1 in 65,000 children ages 10 to 14 commit suicide each year.

Substance abuse is a risk factor for suicide.

The strongest risk factor for suicide is depression.

Suicide is the 11th leading cause of death in the U.S. (homicide is 15th). (CDC)

Suicide is the 3rd leading cause of death for 15- to 24-year-old Americans. (CDC)

It is estimated that there are at least 4.5 million survivors in this country. (AAS)

An average of one person dies by suicide every 16.2 minutes. (CDC, AAS)

Author's Bio: 

Adele Ryan McDowell, Ph.D., is the author of Balancing Act: Reflections, Meditations, and Coping Strategies for Today’s Fast-Paced Whirl and a contributing author to the best-selling anthology, 2012: Creating Your Own Shift. Her next book, Help, It’s Dark in Here, will be released in 2012. You can learn more about Adele and her thinking